DEPARTMENT OF INSURANCE

Affiliations

Name	Insuractive LLC	DOIID	820112	NAIC NPN	3520592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/10/2013	3/31/2027
Active	Non Resident	Agent	Property	9/10/2013	3/31/2027
Active	Non Resident	Agent	Health	9/10/2013	3/31/2027
Active	Non Resident	Agent	Casualty	9/10/2013	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/14/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	9/4/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/22/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/14/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	4/14/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	3/5/2014	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	3/5/2014	11/12/2014
Active	American General Life Insurance Company	301585	Agent - Health	3/22/2017
Active	American General Life Insurance Company	301585	Agent - Life	3/22/2017
Active	American National Insurance Company	301861	Agent - Life	2/14/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	4/29/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	4/29/2014	12/24/2015
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/18/2018
Active	CHA HMO, Inc.	300662	Agent - Health	5/13/2025
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/20/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/20/2014
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Clear Spring Health Insurance Company	301686	Agent - Health	9/19/2022	12/19/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	5/5/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/30/2014
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	12/3/2023
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/18/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/25/2016
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2016
Active	Humana Insurance Company	301104	Agent - Health	8/1/2014
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/8/2016
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/25/2017
Active	Medco Containment Life Insurance Company	301557	Agent - Health	12/3/2023
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	4/15/2014	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	4/15/2014	4/19/2018
Inactive	Medico Insurance Company	301559	Agent - Health	10/24/2023	12/23/2024
Inactive	Medico Insurance Company	301559	Agent - Life	10/24/2023	12/23/2024
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	1/10/2020	12/28/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	1/10/2020	12/28/2020
Active	National Health Insurance Company	300554	Agent - Health	11/2/2023
Active	National Health Insurance Company	300554	Agent - Life	11/2/2023
Inactive	Omaha Health Insurance Company	301296	Agent - Health	4/4/2019	12/27/2024
Inactive	Security Life Insurance Company of America	300936	Agent - Health	7/29/2014	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	7/29/2014	12/31/2016
Active	SilverScript Insurance Company	663526	Agent - Health	2/19/2020
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	12/9/2019	12/27/2023
Inactive	United States Fire Insurance Company	582240	Agent - Property	12/9/2019	12/27/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2014
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/23/2014	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, Robin L	573129	Agent - Health	2/16/2016	4/22/2022
Inactive	Butler, Robin L	573129	Agent - Life	2/16/2016	4/22/2022
Active	Chamberlain, Kateri Lynn	609601	Agent - Health	7/13/2017
Denied	Chamberlain, Kateri Lynn	609601	Agent - Life
Active	Chamberlain, Nicole M	647977	Agent - Health	2/16/2016
Active	Chamberlain, Nicole M	647977	Agent - Life	2/16/2016
Active	Christensen, Megan Julianna	962014	Agent - Health	2/4/2019
Active	Christensen, Megan Julianna	962014	Agent - Life	2/4/2019
Inactive	Coon, Shelly A	653625	Agent - Health	2/16/2016	4/22/2022
Inactive	Coon, Shelly A	653625	Agent - Life	2/16/2016	4/22/2022
Active	Glaze, Robert David	658039	Agent - Health	2/16/2016
Active	Glaze, Robert David	658039	Agent - Life	2/16/2016
Inactive	Gorsuch, Brian Thomas	986017	Agent - Health	2/4/2019	7/15/2019
Inactive	Gorsuch, Brian Thomas	986017	Agent - Life	2/4/2019	7/15/2019
Active	Hickey, Brian J	672742	Agent - Casualty	9/10/2013
Active	Hickey, Brian J	672742	Agent - Health	9/10/2013
Active	Hickey, Brian J	672742	Agent - Life	9/10/2013
Active	Hickey, Brian J	672742	Agent - Property	9/10/2013
Inactive	Jackson, Anthony Tarrel	754698	Agent - Health	2/4/2019	10/11/2019
Inactive	Jackson, Anthony Tarrel	754698	Agent - Life	2/4/2019	10/11/2019
Inactive	Kleinberg, Hershel Alan	743408	Agent - Health	9/10/2013	7/31/2024
Inactive	Kleinberg, Hershel Alan	743408	Agent - Life	9/10/2013	7/31/2024
Active	Krebs-Murnane, Kim M	1029307	Agent - Health	7/15/2019
Active	Krebs-Murnane, Kim M	1029307	Agent - Life	7/15/2019
Inactive	Larsen, Jodi R	1192054	Agent - Health	4/22/2022	5/16/2023
Inactive	Livingstone, Keith Alexander	1183663	Agent - Health	4/22/2022	9/12/2024
Inactive	Livingstone, Keith Alexander	1183663	Agent - Life	4/22/2022	9/12/2024
Active	Mcbrien, Mindy L	1194434	Agent - Health	4/22/2022
Inactive	Norqual, David Leonard	1193768	Agent - Health	4/22/2022	4/30/2023
Inactive	Norqual, David Leonard	1193768	Agent - Life	4/22/2022	4/30/2023
Inactive	Olson, Julie	775607	Agent - Health	2/16/2016	6/21/2017
Inactive	Olson, Julie	775607	Agent - Life	2/16/2016	6/21/2017
Active	Perlinger, Pamela K	1154949	Agent - Health	4/14/2022
Active	Ponce, Alejandro Alejandro	822566	Agent - Health	4/22/2022
Active	Ponce, Alejandro Alejandro	822566	Agent - Life	4/22/2022
Inactive	Vlasin, Ryan James	960423	Agent - Health	2/4/2019	7/6/2022
Inactive	Vlasin, Ryan James	960423	Agent - Life	2/4/2019	7/6/2022